Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dylan Shaw, PT

Individual provider Physical Therapist · NPI 1457057382

Dylan Shaw, PT is a Physical Therapist in Private Practice in South Pasadena, Florida. Qualified in 2022, 4 years ago. Practices with Tallahassee Orthopedic Clinic III Pl, a 550-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1615 Pasadena Ave S Ste 150
South Pasadena, FL 33707-4517
Phone: (813) 978-9700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT39899 (FL)

Record details

NPI number1457057382
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 2, 2023
Last updated in NPPESFebruary 2, 2023
Certification dateFebruary 2, 2023
Mailing address13020 N Telecom Pkwy, Temple Terrace, FL 33637-0915

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Tallahassee Orthopedic Clinic Iii Pl — 550 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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